PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
NPI 1790432219
Dentist - Periodontics in Glenview, IL

Q: What is Periodontal Medicine And Surgical Specialists, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since March 04, 2022

2300 LEHIGH AVE STE 210, GLENVIEW, IL 60026(630) 627-3930 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Periodontal Medicine And Surgical Specialists, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC (NPI 1790432219) is a healthcare organization registered as a periodontics in Glenview, Illinois and active in the NPI registry since March 2022. The organization lists Molly Walsh, Practice Operations Director, as its authorized official.

NPPES Registry Identity

NPI1790432219

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC

Location Address2300 LEHIGH AVE STE 210Glenview, IL 60026-1691

Mailing Address1s224 Summit Ave Ste 205Oakbrook Terrace, IL 60181-3943 · (630) 627-3930

Phone(630) 627-3930

Organization SubpartNo

Authorized OfficialMolly WalshPractice Operations Director · (630) 627-3930

Enumeration DateMarch 4, 2022

NPPES CertifiedMarch 4, 2022

✔ NPI 1790432219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

2300 LEHIGH AVE STE 210, Glenview, IL 60026

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Periodontal Medicine And Surgical Specialists, LLC's NPI number?

The NPI number for Periodontal Medicine And Surgical Specialists, LLC is 1790432219. It was assigned to this organization in the NPPES registry on March 4, 2022.

Where is Periodontal Medicine And Surgical Specialists, LLC located?

Periodontal Medicine And Surgical Specialists, LLC is located at 2300 Lehigh Ave Ste 210, Glenview, IL 60026. The listed phone number is (630) 627-3930.

What is Periodontal Medicine And Surgical Specialists, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Medicine And Surgical Specialists, LLC was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.